dentition-owner - IRISH WOLFHOUND HEALTH GROUP

IRISH WOLFHOUND HEALTH GROUP
DENTITION STUDY – OWNER SURVEY FORM

It is assumed that by completing this form, you give permission for us to include your data in the study and also to use any photographs submitted.
All information supplied will be treated with strictest confidence and anonymity of individual dogs will be preserved at all times.
We recommend that you notify your breeder if you have any concerns.

Name:

Address:

Phone no:

Email address:

Current age of puppy:

Male
Female

Does your puppy have misaligned teeth/jaws at present? If so, please describe how his/her mouth looks.

Has your vet recommended surgery and/or a referral to a canine orthodontist?

Yes
No

Does your puppy appear to be in pain and/or have difficulty eating?

Yes
No

If the top jaw overlaps the bottom jaw at present (overshot):

(a) approximately by how much does the top jaw overlap?

(b) are both, neither or only one of the lower canines misaligned?

Both
Neither
One

(c) do the lower canines press into the roof of the mouth or gums?

Yes
No

(d) does the entire lower jaw fit within the upper jaw, ie is the lower jaw narrow?

Yes
No

(e) are the lower canines currently set behind the upper ones?

Yes
No

Thank you for participating in this survey. Would you happy to provide further information? This would include providing photographs of your puppy’s mouth as it develops.

Yes
No